Question 1

I'm really worried about this situation where someone feels tired and uneasy in their chest after walking a short distance. Even though all the medical tests like the blood sugar, ECG, and X-ray came back normal, they still need to rest before they can keep going. What could be causing this, and what should we do next?

Accepted Answer

It sounds like your symptoms could be related to angina, which is chest pain or discomfort that occurs when the heart muscle doesn't get enough oxygen-rich blood. Since your check-up results were normal, it's important to continue monitoring your symptoms and follow up with your doctor if they persist or worsen. In the meantime, you can try taking a medication like **Aspirin** 75mg once daily to help improve blood flow to the heart and reduce the risk of blood clots. Additionally, **Nitroglycerin** sublingual tablets can be taken as needed for chest pain relief (0.4mg every 5 minutes, up to 3 doses). Remember to always carry your nitroglycerin with you in case of emergency. If your symptoms continue, further evaluation by a cardiologist may be necessary.

Question 2

My dad recently had an ECG which turned out normal, but his TMT results showed positive for exercise-induced ischemia. I'm quite worried because his hemoglobin level is really low at 8.8. Do you think he needs an angiogram? I'm not sure what the best next steps are, and would appreciate your guidance.

Accepted Answer

Correct anemia first then can think to do stress echocardiography....to confirm..but
If there are any risk facters like diabetes and hypertension or smoking or obesity or family history & inactive lifestyle...& symptoms of chest pain or breathing difficulty, angiography should be done
Anyways need insight on all these & need to see the TMT strips to suggest the next best step.

Question 3

I've been having some concerns lately, so a few weeks ago, I had breathlessness and noticed my blood pressure was up at 140106. Went to get an ECG and Echo done  the ECG showed some mild variations, and the Echo showed mild LVH. That same day, my BP was 150100, so they kept me under observation for about 4 hours and sent me home with a prescription for a 5mg BP medicine for a month. But here's the thingI didn't take the meds because I'm worried about getting dependent on them. I've been checking my BP regularly and it's mostly between 12887 and 13090, though I did have one reading of 13890. Do you think it's okay for me to keep skipping the medicine and just try focusing on lifestyle changes? Am I making a mistake here by not taking it? Would love some advice on this.

Accepted Answer

Based on your medical history of having mild variations in ECG, mild LVH on Echo report, and elevated blood pressure readings, it is important to follow your doctor's advice regarding medication. Skipping blood pressure medication can increase the risk of complications such as heart disease, stroke, or kidney problems, especially since your blood pressure was previously elevated at 150100. I recommend that you do not skip your medication and continue taking it as prescribed by your doctor. In addition to medication, incorporating lifestyle changes such as maintaining a healthy diet low in sodium, regular exercise, stress management, and avoiding smoking and excessive alcohol consumption can also help in managing your blood pressure. If you have concerns about forming a habit of taking medication, you can discuss this with your doctor to address any fears or doubts you may have. It is important to prioritize your health and follow the treatment plan recommended by your healthcare provider.

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